水泥骨形:手术治疗的多中心分析
Fadi Titinchi1,2, Naser Alturki3, Jean Morkel3
1Department of Maxillofacial and Oral Surgery, Faculty of Dentistry and WHO Collaborating Centre, Tygerberg Hospital, University of the Western Cape, Private Bag X1, Tygerberg Oral Health Centre Francie van Zijl Drive, Cape Town, 7505, South Africa. ftitinchi@uwc.ac.za.
Oral and maxillofacial surgery
|May 7, 2025
概括
水泥骨张力症 (COD) 的管理是有争议的. 这项研究分析了124例病例,发现症状性病变最受益于早期手术干预,如切割或切除,以预防并发症.
科学领域:
- 口腔和牙面部外科手术
- 病理学 病理学 病理学
- 放射学 放射学是一门学科.
背景情况:
- 水泥骨性形 (COD) 是一种纤维骨性病变,有着争论的管理策略.
- 由于缺乏全面的研究,需要制定COD治疗方案.
研究的目的:
- 为了分析水泥骨张力症 (COD) 的管理.
- 根据临床和放射学发现,开发一种标准化COD治疗方案.
主要方法:
- 在2005年至2023年期间诊断出COD的124名患者的回顾性队列分析.
- 在两个第三级转诊医院进行多中心研究.
- 对人口,临床和放射学数据的分析,与治疗结果和并发症相关联.
主要成果:
- 放射性不透明的COD显示出显著更高的症状率 (p=0.02).
- 主要观察到无症状病变 (72%);症状病变的治疗方法是切除 (29.7%) 或切除 (48.6%).
- 对有症状或感染的COD进行早期手术干预,可以有效地预防像骨质炎这样的并发症.
结论:
- 无症状COD的活检只适用于不确定的临床病理特征.
- 对于COD的手术治疗决定,应优先考虑症状存在和感染.
- 迅速除或切除受感染的COD对于消除疾病和预防骨髓炎进展至关重要.
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